The ANSC GP Resource Manual is intended as a guide for general practitioners participating in the SLHD Antenatal Shared Care Program. The manual content is closely linked with HealthPathways where clinically relevant.

  pdf ANSC GP Resource Manual v 7.4 (4.00 MB)  (June 2017)

GPs participating in the ANSC program will be expected to adhere to the agreed guidelines as outlined in the SLHD ANSC Protocol when caring for their antenatal shared care patients.

pdf SLHD Antenatal Shared Care Protocol - Antenatal Clinic  (704 KB)
pdf SLHD Antenatal Shared Care Protocol - Birth Centre  (122 KB)

Breaches of the ANSC Protocol that affect patient outcomes will be recorded for quality assurance purposes. Any investigations requested by the GP for a woman under his/her care must be followed up by the GP concerned. At all times it is the primary responsibility of the provider ordering the test or noting an abnormal finding to ensure appropriate follow-up management and communication, irrespective of whether a copy has been sent to the participating hospital. 

  pdf SLHD Breastfeeding Policy Compliance Procedure 2017 (3.01 MB)  : Comprehensive breastfeeding guidelines and information
 Search for a Certified Lactation Consultant: Lactation Consultants Association of Australia and New Zealand (LCANZ)

Patient information and resources

 SLHD Early Childhood Services
Child and Family Health: all referrals/enquiries to local Early Childhood Centres is via the Central Intake Line (Phone: 9562 5400)

 Australian Breastfeeding Association (ABA)

Infant Feeding Guidelines

 NHMRC Infant Feeding Guidelines - comprehensive guidelines for health workers recommending breastfeeding and infant feeding

All pregnant women should be routinely provided with verbal and written information regarding normal fetal movements during the antenatal period. Clinicans should emphasis the importance of maternal awareness of fetal movements at each clinical visit. Regular enquiry about fetal movements is an important aspect of ascertaining fetal wellbeing.

Women with a concern about decreased fetal movements (DFM) should be advised to contact their health provider immediately. Maternal concern of DFM overrides any definition of DFM based on numbers of fetal movements. 

 Maternity - Decreased fetal movements in the third trimester: Guideline Summary - Ministry of Health NSW
 PSANZ Stillbirth and Neonatal Death Alliance - Resources for both health professionals and women
 Stillbirth- Centre of Research Excellence - Decreased fetal movement resources including clinical guidelines, e- learning module, consumer  video
 Patient Brochure - Pregnancy : Your baby's movements and what they mean  (Available in different languages)

Healthy eating during pregnancy

 NSW Health "Get Healthy in pregnancy" - free telephone counselling service,information and resources regarding physical activity, healthy eating and weight gain in pregnancy 
 NSW Health " Get Healthy" Service " - a range of resources developed to assist GPs and AHPs to promote the "Get Healthy" service to their patients
 NSW Health " Get Healthy General Practice Referral Form" + additional referral information. The General Practice Referal Form template is already supplied in both Medical Director and Best Practice ( For BP, tick ALL STATES box) 

 Patient Brochure - Healthy eating when you're pregnant or breastfeeding - Department of Health
 Patient Brochure - Food safety during pregnancy - NSW Food Authority

Pregnancy and alcohol

 Women want to know: Discussing pregnancy and alcohol - Department of Health. Assessment tools and information to assist health professionals in discussing alcohol use and pregnancy

Smoking Cessation Clinics

Drug Health Services offer one-to-one counselling support clinics for individuals wishing to stop smoking. Clinics are located at RPA ph. 9515 7611 (Wed 1.00-4.00pm, Thurs 1.00-4.00pm)  and Croydon Community Health Centre ph. 9378 1306 (Mon 9.00-2.30pm)

Management of Obesity

 RANZCOG College Statement: Management of obesity in pregnancy
 NSW Health "Get Healthy in pregnancy" - free telephone counselling service, information and resources regarding physical activity, healthy eating and weight gain during pregnancy

Oral Health

 Patient Brochure- Oral health during pregnancy 

  pdf Diagnostic Testing for Hyperglycaemia in pregnancy (504 KB)  - resource which includes defining risk, screening protocol, interpreting results, postnatal follow-up and pre-pregnancy assessment
  pdf Glucose Tolerance Test (GTT) Instructions (149 KB)  - patient instruction for GTT testing
 ADIPS - Australian Diabetes In Pregnancy Society- Resources for both health professionals and patients

Overdue pregnancies

Following the 40 week GP visit, advise patients to contact the clinic for their post dates appointment.

RPA - Women need to be seen at 41 weeks ⁺¹ day in the Registrars' "Post Dates" clinic. Should this date fall on a weekend the women must be seen in the previous Thursday afternoon.

Canterbury Hospital - Women need to be seen at 40⁺ weeks 

Should women go into labour there is no need to call and cancel the clinic appointment.

Along with routine assessment an internal (P.V.) examination will be attended. A management plan for induction of labour will be determined based on the finding and fully discussed with the woman. Instructions, information and a planned date for their hospital admission will be given.

 Patient Brochure -RPA: Your breech baby 
 Patient Brochure - RPA: Women having an External Cephalic Version (ECV) 
 Patient Brochure -Vaginal Birth After Caesarean (VBAC) Labour Care 
 Patient Brochure - Previous Caesarean 
 Patient Brochure  pdf SLHD Pelvic Pain in pregnancy (259 KB)  

   pdf Nausea and vomiting in pregnancy information (70 KB)  - RPA Emergency Department . 
   pdf Hyperemesis: Clinical Practice Guideline  (127 KB) - RPA Emergency Department 

Early identification of women experiencing psychosocial problems and mental health conditions in the perinatal period it important so they can recieve timely support and care. 

  pdf Mental Health Care in the Perinatal Period - Australian Clinical Practice Guideline (681 KB)  - Centre of Perinatal Excellence (COPE)
 COPE Centre for Perinatal excellence - provides resources for both health professionals and consumers
 Screening and assessment tools : Psychosocial risk assessment (ANRQ/PNRQ) & Assessment of depression and anxiety (EPDS)
 beyondblue - provides access to a variety of information regarding perinatal mental health
 Edinburgh Postnatal Depression scale (EPDS) questionniare
Translated Edinburgh Postnatal Depression Scale (EPDS) 
  pdf Looking after your perinatal mental health (611 KB)  - Information for patients